DR. JACKSON CHARLES GRAHAM OD
NPI 1497438493
Optometrist in West Siloam Springs, OK

Q: What is Jackson Graham's NPI number?

The NPI number for Jackson Graham is 1497438493. It was assigned to this individual provider in the NPPES registry on August 8, 2023.

Q: What is Jackson Graham's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: When was this NPI record last updated?

The NPPES record for Jackson Graham was last updated on July 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 08, 2023PECOS Enrolled

820 STATE LINE RD, WEST SILOAM SPRINGS, OK 74338(918) 422-5811 Get Directions Write a Review

NPPES record last updated: July 2, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 2, 2025, May 10, 2024, Aug 8, 2023 (3 updates tracked since 2023).

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About Dr. Jackson Charles Graham Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JACKSON CHARLES GRAHAM OD (NPI 1497438493) is an individual optometrist in West Siloam Springs, Oklahoma, licensed in Oklahoma (3224) and active in the NPI registry since August 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497438493

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDR. JACKSON CHARLES GRAHAMCredential: OD

Location Address820 STATE LINE RDWest Siloam Springs, OK 74338

Mailing AddressPo Box 460Gentry, AR 72734-0460 · (918) 931-2729

Phone(918) 422-5811

Sole ProprietorNo

Enumeration DateAugust 8, 2023

Last NPPES UpdateJuly 2, 20253 updates tracked since enumeration

NPPES CertifiedJune 15, 2025

✔ NPI 1497438493 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

Licenses✔ Licensed in OK · 3224✔ Licensed in AR · 2894

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

820 STATE LINE RD, West Siloam Springs, OK 74338

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jackson Charles Graham Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jackson Graham reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dr. Torrey J. Carlson & Associates

673 mi

Optometrist

2600 E STONE DR STE 10
Kingsport, TN 37660

Reassigned Medicare billing, Tennessee enrollment
30 clinicians in this Medicare group

NPI 1366480964 (865) 217-1010

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74338 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$123.06 typical visit price

range $53.00 – $162.61

Typical copayment $30.76 (range $13.25 – $40.65)

Most-billed visit code 99204

Established Patient

$66.48 typical visit price

range $16.68 – $132.40

Typical copayment $16.62 (range $4.17 – $33.10)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jackson Graham's NPI number?

The NPI number for Jackson Graham is 1497438493. It was assigned to this individual provider in the NPPES registry on August 8, 2023.

Where is Jackson Graham located?

Jackson Graham practices at 820 State Line Rd, West Siloam Springs, OK 74338. The listed phone number is (918) 422-5811.

What is Jackson Graham's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Jackson Graham enrolled in Medicare?

Yes. Jackson Graham is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jackson Graham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jackson Graham reassigns Medicare benefits to Dr. Torrey J. Carlson & Associates (Kingsport, TN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jackson Graham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jackson Graham accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 9 other insurers list Jackson Graham as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jackson Graham was last updated on July 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.